Hair Loss & Scalp

Dandruff & Flaky Scalp

Flakes may come from dandruff, irritation, psoriasis or another scalp condition.

In plain language

What this term means.

Dandruff commonly causes loose scalp flakes with variable itch and oiliness. Thick scale, marked redness or hair loss may point to a different or additional diagnosis.

What patients notice

Common signs and descriptions

  • Loose white or yellowish flakes
  • Itch
  • Oily or dry-feeling scalp
  • Flaking around hairline or ears

Possible explanations

Different causes can look similar

  • Seborrhoeic tendency
  • Product irritation
  • Dryness
  • Psoriasis or fungal scalp disease

Professional assessment

How a consultation may clarify the concern.

History of onset, shedding pattern, medicines, nutrition, illness and family history
Scalp and hair-shaft examination, with tests considered only when the clinical picture indicates them

Treatment approach

Options follow the diagnosis

  • Treat the identified cause and protect remaining hair
  • Discuss medical, scalp-support or restoration pathways only after diagnosis

Avoid

What not to do

  • Do not start multiple supplements or prescription products without assessment
  • Avoid tight hairstyles, harsh traction and repeated aggressive scalp procedures

Care

Useful next steps

  • Use gentle scalp care and record the timing of major health or medication changes
  • Photograph the same areas in similar light monthly rather than checking repeatedly each day

Frequently asked

Questions to take into consultation.

A photograph can document appearance but may not show texture, depth, scalp findings or warning signs. A diagnosis and personalised plan may require history and in-person examination.

Not usually. The appropriate pathway depends on the cause, severity, skin or hair characteristics, previous treatment, medical suitability and the result you hope to achieve.

Questions patients ask

Prepared answers related to this concern.